Pastarr, Ethel L

Pastarr, Ethel L is an individual health care provider with primary practice located at 701 Park Ave , Minneapolis MN 55415-1623. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Pastarr, Ethel L can be contacted via phone (612) 873-2203.

Contact Information

Primary practice address
701 Park Ave Minneapolis MN 55415-1623
Phone: (612) 873-2203
Fax: (612) 904-4273
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 03784 Minnesota

Profile Details

NPI number 1386609519
LBN Legal business name Pastarr, Ethel L
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Nov 28th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386609519 NPPES
Minnesota Other 116094 UCARE
Minnesota Other 46G43PA UCARE
Minnesota Other 07-40040 UCARE
Minnesota MEDICAID 528840100 UCARE

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